IL-33 在慢性呼吸系统疾病中的炎症作用——解析 IL-1 超家族成员的角色
IL-33 Mediated Inflammation in Chronic Respiratory Diseases-Understanding the Role of the Member of IL-1 Superfamily.
机构信息
Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, Łódz, Poland.
Department of Internal Medicine, Asthma and Allergy, Medical University of Lodz, Łódz, Poland.
出版信息
Front Immunol. 2019 Apr 16;10:692. doi: 10.3389/fimmu.2019.00692. eCollection 2019.
Interleukin 33 (IL-33) is an alarmin cytokine from the IL-1 family. IL-33 is localized in the nucleus and acts there as a gene regulator. Following injury, stress or cell death, it is released from the nucleus, and exerts its pro-inflammatory biological functions via the transmembrane form of the ST2 receptor, which is present mainly as attached to immune cells. In recent years, IL-33 became a focus of many studies due to its possible role in inflammatory disorders. Among respiratory disorders, the contribution of IL-33 to the development of asthma, in particular, has been most identified. Increased level of IL-33 in lung epithelial cells and blood serum has been observed in asthma patients. The IL-33/ST2 interaction activated the Th2 mediated immune response and further production of many pro-inflammatory cytokines. Single nucleotide polymorphisms in the IL-33 gene cause a predisposition to the development of asthma. Similarly, in chronic pulmonary obstructive disease (COPD), both increased expression of IL-33 and the ST2 receptor has been observed. Interestingly, cigarette smoke, a key inducer of COPD, not only activates IL-33 production by epithelial and endothelial cells, but also induces the expression of IL-33 in peripheral blood mononuclear cells. Knowledge regarding its contribution in other respiratory disorders, such as obstructive sleep apnea, remains greatly limited. Recently it was shown that IL-33 is one of the inflammatory mediators by which levels in blood serum are increased in OSA patients, compared to healthy control patients. This mini review summarizes current knowledge on IL-33 involvement in chosen chronic respiratory disorders and proposes this interleukin as a possible link in the pathogenesis of these diseases.
白细胞介素 33 (IL-33) 是白细胞介素 1 家族的一种警报细胞因子。IL-33 定位于细胞核内,在那里作为基因调节剂发挥作用。在损伤、应激或细胞死亡后,它从细胞核中释放出来,并通过 ST2 受体的跨膜形式发挥其促炎的生物学功能,ST2 受体主要附着在免疫细胞上。近年来,由于其在炎症性疾病中的可能作用,IL-33 成为许多研究的焦点。在呼吸疾病中,IL-33 对哮喘发展的贡献最为明确。哮喘患者的肺上皮细胞和血清中 IL-33 水平升高。IL-33/ST2 相互作用激活了 Th2 介导的免疫反应,并进一步产生了许多促炎细胞因子。IL-33 基因中的单核苷酸多态性导致哮喘的易感性增加。同样,在慢性阻塞性肺疾病 (COPD) 中,也观察到 IL-33 和 ST2 受体的表达增加。有趣的是,香烟烟雾,COPD 的一个关键诱导物,不仅激活了上皮细胞和内皮细胞的 IL-33 产生,还诱导了外周血单核细胞中 IL-33 的表达。关于其在其他呼吸疾病(如阻塞性睡眠呼吸暂停)中的作用的知识仍然非常有限。最近的研究表明,IL-33 是导致阻塞性睡眠呼吸暂停患者血清水平升高的炎症介质之一,与健康对照组相比。这篇综述总结了 IL-33 参与选定的慢性呼吸疾病的最新知识,并提出这种白细胞介素可能是这些疾病发病机制中的一个可能联系。